7/26/2019 Pechecklistforspa1 2014 Tips for Evaluators

1/2

Pa

Physical Exam Maneuvers SPA 1

IMPORTANT EVALUATOR NOTES:

Students are expected to perform all PE maneuvers listed on this form.

Credit for each PE maneuver should only be given if it was performed correctly.

Students can perform these PE maneuvers in any order, unless otherwise noted for a particular maneuver. Students should not be penalized for performing maneuvers not listed on this list.

Preara!i"n#Pri"r !" Pa!ien! Exam $"neN

%

ashes hands

Vi!al Si&ns

(NOTE: vital signs are given to students on patients chart; only BP needs to be repeated)'"rrec!ly

%"ne

Inc"rrec!ly

%"ne

N

%

Chec!s patient"s blood pressure

(EENT#nspects con$unctiva of each eye

#nspects oral cavity %w&light source'

#nspects auditory canals and tympanic membranes, bilaterally %w&otoscope'#nspects nasal cavities, bilaterally %w&otoscope'

Palpates the frontal and maxillary sinuses, bilaterally

Nec)Palpates lymph nodes in the occipital, posterior chain, anterior chain, pre( and post(auricular, submandibular,

submental, and supraclavicular areas, bilaterally

Palpates thyroid

'hes!#Lun&s

)d$usts patient"s gown and drape appropriately, respecting patient"s modesty

Auscul!a!es lun&s%must listen on sin!no credit i" done

over clothes'

)nterior chest wall

*ateral chest wall

Posterior chest wall

Palpates infraclavicular lymph nodes, bilaterally

Palpates axillary lymph nodes, bilaterally

'ar%i"vascular

)d$usts patient"s gown and drape appropriately, respecting patient"s modesty

+easures $ugular venous pressure%patient at #$%&' degrees'

)uscultates carotid pulse bilaterally %ith bell o" stethoscope'

Palpates carotid pulse bilaterally %only one side at a time'

Auscul!a!es hear! valves*

using bell and diaphragmmodes of stethoscope(patient supine;must listen on sin!no credit i" done over clothes'

)ortic area

Pulmonic area

ricuspid area

+itral %apical' area

Palpates point of maximum impulse

Palpates pulse strength-adial pulse

orsalis pedis and posterior tibial pulses %bilaterally'

#nspects for lower extremity edema

A+%"men

)d$usts patient"s gown and drape appropriately, respecting patient"s modesty/ warms hands

)uscultates for bowel sounds%must be done be"ore palpation or percussion and must listen on sin'

#nspects abdomen for scars, asymmetry, masses, protuberances, general contour

Palpates superficially, then deeply0 -2, -*2, epigastrum, *2, **2, suprapubic area

Percusses liver, measures span

Palpates liver edge

Palpates spleen

Palpates abdominal aorta

7/26/2019 Pechecklistforspa1 2014 Tips for Evaluators

2/2

Pa

Muscul"s)ele!al(screening e*am)

Visual insec!i"n

, RO+

4ec! flexion, extension, right and left rotation, lateral flexion

5inger flexion 6 extension

rist flexion 6 extension

Elbow flexion 6 extension

Shoulder flexion, internal and external rotation

7ip flexion, extension, internal 6 external rotation

8nee flexion, extension)n!le dorsiflexion and plantar flexion

*umbar flexion, extension, lateral flexion

Visual insec!i"n#nspect dorsal and palmar surfaces of hands

#nspect foot, toes, 6 plantar surfaces of feet

S!ren&!h !es!ing

#nterosseous muscles

9rip

rist flexors and extensors

:iceps

riceps

eltoids

7ip flexors, adductors, and abductors

8nee flexors and extensors

5oot dorsiflexion, plantar flexion, inversion, and eversion

Neur"

Orien!a!i"nto person, place, time, and situation

Lan&ua&e4ame ob$ects

-epetition0 ;no ifs, ands, or buts